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Prostate Cancer And Gay Men
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2nd opinion?

Just saw a urologist. After a digital exam, he said he thought my prostate was "abnormal" and suggested that I have an ultrasound / biopsy. Should I get a second opinion or is this pretty standard procedure?

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Did he do a PSA test? Usually that and the DRE together point to a biopsy unless the abnormality is patently obvious.

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My PSA is 7, that's why I got the digital exam.

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A biopsy is the next step with a PSA of 7.

The pathologist will give it a Gleason score an hopefully it will be 6 or below

Don’t wait. The biopsy is outpatient and not a big deal.

Good luck

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Got it. Agree with Pj10128.

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Before you get a biopsy, ask for a prostate MRI and check that you're with a urologist that can do an MRI guided biopsy...not all can. The difference is that an MRI will identify any suspicious tissue locations and the urologist uses the MRI image to target the biopsy needle to those points. Without this, the needle is poking (somewhat) randomly and can easily miss small problematic nodules. To quote one of the doctors at a PCRI conference a couple years ago when asked if he would have a biopsy done without that...he was emphatic: "No!"

Also, a PSA of 7 is not that high and may be your normal level. This is why it's important to have annual physicals and monitor your PSA over time. Enlarged prostate can cause elevated PSA levels. It's a change (increase) in PSA in a relatively short time that sets off the alarm bells.

Good luck!

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You might ask about getting a prostate MRI which could be helpful in advance of or after a biopsy which would help to further assist in your diagnosis. Wishing you good luck there!

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Thanks for the recommendation

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I had a biopsy after the digital exam showed a nodule. They took 12 core samples. 2 of the samples contained cancer.

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So, are you undergoing a treatment/operation?

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I already had the surgery. The doctor removed my entire prostate.

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Just echoing above advice. And, def YES to MRI fusion guided biopsy. If your uro cannot perform this procedure, find one that can. Also, ask about Prostate Health Index.

Hopefully, the PSA of 7 is the result of something other than PC. Good luck to you.

EdinBaltimore

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Thanks, Ed.

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I agree with Svnupsf, proceed with caution and don’t hesitate to get second opinions, looking back I wish I had, good luck

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